Dupuytren Contracture Institute

New Customer – how to select your best treatment plan

Suggestions to help you decide how to start Dupuytren’s contracture treatment with your doctor’s helpRead these descriptions and see which one applies most closely to your situation. You can start with any plan you chose, but the more aggressive your treatment plan the greater your opportunity for success.

Small Dupuytren’s treatment plan suggested:

DC less than 12 months

DC appears to be slowly advancing

DC is not known in my family; I am first in family to have DC

One hand involved at this time

No observable tissue changes at this time; no knots or lumps on palm of hand, no finger cords­; fingers just feel tight and achy ­

Full finger range of motion; can flatten palm against table top

Any age

Generally good health

Non-cigarette smoker

History of no to little hand stress – non-manual labor all of life; played nomusical instruments; no history of hand injury

No prior Dupuytren or other hand surgery; no Xiaflex injection

Medium Dupuytren’s treatment plan suggested:

DC between 12-24 months

DC appears to be moderately advancing

DC is in one other family member

Two hands involved

Mild to moderate knots or lumps on palm; mild to moderate finger cords

Slight to moderate reduction of finger range of motion; some difficulty flattening palm against table top

Any age

Generally good health

Moderate cigarette smoker; used to smoke, but not now

History of mild to moderate hand stress – manual labor all of life; played musical instruments; history of mild to moderate hand injury

One prior Dupuytren or other hand surgery; one Xiaflex injection

Large Dupuytren’s treatment plan suggested:

DC longer than 24 months

DC appears to be rapidly advancing; recently started to develop at a faster rate

DC is in two or more family members

Two hands involved, one of them severe

Moderate to severe knots or lumps on palm; moderate to severe finger cords

Moderate to severe reduction of finger range of motion; difficulty flattening palm against table top

Under 50 years old, or over 70 years old

Heavy cigarette smoker

Generally poor health or complicated medical history

History of moderate to severe hand stress – heavy manual labor all of life; heavy and extensive playing of musical instruments; history of moderate to severe of hand injury

One or more prior Dupuytren or other hand surgery; one or more Xiaflex injections

Poor surgical results

You don’t have to follow a DCI plan; you can create your own plan based on the ideas found in the “Worksheet to build or modify a Dupuytren’s contracture disease treatment plan with your doctor”. Some of our visitors decide to use a Large Dupuytren’s treatment plan simply because they want to do as much as possible to help themselves, even when their problem is relatively mild. How you proceed is based on how much you wish to devote to your recovery and how your doctor wishes you to treat your condition.

7 thoughts on “New Customer – how to select your best treatment plan”

John Trexlersays:

The small plan most closely fits my history of Dupuytren’s contracture except for a couple things. I am 66 and have had it only in the left hand on the ring finger for maybe 20 years and it is NOT aggressive, has not advanced very noticeably but is annoying. Can’t flatten hand on table unless I force it flat. No prior surgery and no family history. Non smoker and in good health. The other two plans just don’t fit well yet I want to see improvement. What is your suggestion? John

Not many people are as fortunate to have such a slow moving case of Dupuytren’s contracture. Because of your unique history with DC I would really appreciate it if you would reply to our 5-minute Dupuytren’s contracture survey on variability. Thanks in advance.

I always suggest that any treatment plan for DC be as aggressive as you can afford to sustain for at least 3-4 months to see how you will respond; please refer to the expense information for each plan to get an estimate of monthly costs. There is not that much difference between the monthly plan costs from one to the other, once the initial purchase is made.

Your DC is a stubborn and tenacious problem that has continued for 20 years, don’t you think? For this reason it might take a strong effort to assist your body to remove those deep fibrous tissues. I suggest if you cannot afford the medium or large DCI treatment plan that you consider the small plan expanded with 1-2 additional therapy items to assure success.

Let me know if you need any help along the way with your Dupuytren’s contracture treatment. TRH

I was surprised by your quick response, but thought I would get an email, glad I checked back on this site and saw this, might have missed it. I will reply to the survey but where do I see it? Is it a survey after getting the product? I will check back here to see about the survey then order the small plan for now and find if I get any results at all. Is there any chance of allergy to any of the supplements?

Thanks Doc, I did the survey, wish I could send a picture of the hand. Glad no allergic reaction because I just recently became sensitive to aspirin after a lifetime of no problem. I’ll order the Small plan for now and see what happens.

I see that you highly recommend the Genesen Acutouch pen. I am very interested in it, but I do not see any customer testimonials on the website or am I missing something. I also did a web search and found little. If it is so wonderful if used correctly for 220 conditions, why can I find so little information on results for Dupuytran? Thank you in advance for your response.

Good question. I do not have a great answer, except that I think it has something to do with the fact that the Genesen Acutouch pens are so integral to the practice of acupuncture and that they originate in South Korea where they are very popular, that they do not receive the exposure or attention they deserve. How much attention or clamor do you observe in this country for acupuncture in general – a 5000 year old healing art that has probably delivered more treatment over history than has medicine? What gets attention in modern society has marketability and profitability for a limited number of people who can benefit by it, and the Genesen pens to do not have much of that. They are just relatively inexpensive little devices that individual doctors or various types use to help patients.

Another reason they are not as widely accepted in our modern culture is that they deal with those subtle energy forms which are also integral with the practice of acupuncture and the martial arts. Those who have studied and use Chi (qi) in their lives know all about this. Those mysterious groups of people you see practicing Tai Chi in the parks are doing it for a reason; they say it is exercise, but it is more. It is not spoken of to the uninitiated. Accepted and understood in the East, and scoffed in the West.

When I was in active practice many years ago I was slowly shifting my work over more and more to the Genesen pens than to traditional needles. I had some great results with those strange golden sticks! TRH